MACK FAMILY CHIRO (NPI# 1124413760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124413760 |
Entity Type | Organization |
Organization Name | MACK FAMILY CHIRO |
Practice Address |
6020 E Brown Rd Ste 104 Mesa AZ 85205-4812 |
Mailing Address |
1042 N Higley Rd Ste 102-442 Mesa AZ 85205-5398 |
Practice Telephone | 4806418352 |
Mailing Telephone | 4806418352 |
Enumeration Date | 2015-03-31 |
Last Update Date | 2015-03-31 |
Authorized Official Name | CLIFTON GUY MACK (OWNER) |
Authorized Official Telephone | 4806418352 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
2015015-01-BE | AZ | Chiropractic Providers |
Street Address |
6020 E BROWN RD STE 104 |
City | MESA |
State | AZ |
Zip Code | 85205-4812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073124509 | Medela Vida LLC | Clinic/Center | 6020 E Brown Rd Ste 104, Mesa, AZ 85205-4812 | 2020-08-10 |
1215547005 | Barbara Simmons | Massage Therapist | 6020 E Brown Rd Ste 104, Mesa, AZ 85205-4812 | 2020-08-05 |
1831708338 | Timothy Bingham | Nurse's Aide | 6020 E Brown Rd Ste 104, Mesa, AZ 85205-4812 | 2020-07-30 |
1871970616 | Richard Droste | Chiropractor | 6020 E Brown Rd Ste 104, Mesa, AZ 85205-4812 | 2015-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
Find all providers in zip 85205 |
Taxonomy Code | 111NR0400X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Rehabilitation |
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790991958 | Michael Fossum | Chiropractor | 1830 S Alma School Rd Ste 116, Mesa, AZ 85210-3086 | 2007-05-15 |
1922124957 | Ulysses Carr | Chiropractor | 1845 S Dobson Rd Ste 103, Mesa, AZ 85202-5662 | 2007-03-21 |
1134276256 | Debra M Pentz | Chiropractor | 6402 E Superstition Springs Blvd Ste 123, Mesa, AZ 85206-4391 | 2007-01-03 |
1780742189 | Alejandro A. Mioni | Chiropractor | 2110 E Baseline Rd, Suite A 5-6, Mesa, AZ 85204-6970 | 2006-12-05 |
1588733091 | Mesa Chiropractic Corp | Chiropractor | 5233 E Southern Av, #104, Mesa, AZ 85206 | 2006-11-07 |
1164775425 | Integrated Health Centers of Arizona Plc | Chiropractor | 2058 S Dobson Rd, Suite 16, Mesa, AZ 85202-6454 | 2012-10-23 |
1841444817 | Rehabilitation Chiropractic Care PC | Chiropractor | 6638 E Baseline Rd Ste 103, Mesa, AZ 85206-4433 | 2008-11-04 |
1295983971 | Daniel J Kinkead PC | Chiropractor | 3614 E Southern Ave, Suite A-105, Mesa, AZ 85206-2509 | 2008-09-05 |
1275679078 | Ray Chiropractic Center P L L C | Chiropractor | 62 N Stapley Dr, Mesa, AZ 85203-8845 | 2007-01-29 |
1427115773 | Balance Chiropractic LLC | Chiropractor | 6750 E Main St Ste 108, Mesa, AZ 85205-9049 | 2007-01-03 |
Find all providers in MESA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.